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BDEM2016-000778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BDEM2016-0007 � Property Address: 48633 CALLE ESPERANZA `—J APN: 646121017 Q Application Description: RITCHIE / DEMO WOOD FRAMED PO LY Property Zoning: Q.1 Q W: Application Valuation: it` G3 LU Applicant: LJ_ 0—z RONCIN CONSTRUCTION COMPANY INC DBA'SERV a C it: Lu. 31-105 RESERVE DRIVE U THOUSAND PALMS, CA 92276 o LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B. CiS / License No.: 4449822 Contractor �- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county,that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars Aw— I, as owner of the property, or my employees with wages as their sole compensation, will'do the work, and the structure is not intended or offered for sale. (Sec. 7044,,Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that oh e did not build or improve for the purpose of sale.). as owner of the property, am exclusively contracting with licensed contractors Econst ruct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to Xtractors' State License Law.). m exempt under Sec. B.&P.C. for this reason Owner•_. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. Q. Lender's Na Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/17/2016 Owner: JAMES RITCHIE Contractor: RONCIN CONSTRUCTION COMPANY INC DBA SERV 31-105 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)343-2929 Llc. No.: 449822 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: _ %� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 1�/ �Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed undgr or pursuant to any permit issued as a result of this application., the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent) DESCRIPTION FINANCIAL INFORMATION ACCOUNT' QTY AMOUNT PAID PAID DATE DEMOLITION, EXTERIOR 101-0000-42404 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY ` _ ;. AMOUNT PAID PAID DATE DEMOLITION, EXTERIOR PC 101-0000-42600 0 $108.77 $0.00 PAID BY METHOD - RECEIPT # CHECK # CLTD BY Total Paid for DEMOLITION: $145.03 $0.00 TOTALS:00 Description: RITCHIE / DEMO WOOD FRAMED PORTION ONLY Type: DEMOLITION Subtype: SINGLE FAMILY Status: APPROVED Applied: 5/17/2016 AOR Approved: 5/17/2016 AOR Parcel No: 646121017 Site Address: 48633 CALLE ESPERANZA LA QUINTA,CA 92253 Subdivision: TR 20052-4 Block: Lot: 17 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $0.90 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: DEOMLITION OF WOOD FRAMED CONSTRUCTION ONLY, SLAB TO REMAIN - THIS PERMIT IS NOT VALID UNTIL NOTIFICATION TO AQMD HAS BEEN SUBMITTED AND ALL NECESSARY INSPECTIONS HAVE BEEN PERFORMED. 2013 CALIFORNIA BUILDING CODES. Printed: Tuesday, May 17, 2016 9:48:35 AM 1 of 2? SYSTEMS CHRONOLOGY CONDITIONS CONDITION TYPE CONTACT DATE ADDED- DATE REQUIRED DATE SATISFIED STATUS REMARKS NOTES - HOA APPROVAL, SIGNED CONTRACT AND READY TO ISSUE CHECKLIST Al ORTEGA 5/17/2016 PENDING CONSTRUCTION DEBRIS MANAGEMENT PLAN REQUIRED - SEE PERMIT NOTES FOR ADDITIONAL INFORMATION CONTACTS NAME TYPE NAME ADDRESSI CITY - STATE ZIP PHONE FAX EMAIL APPLICANT RONCIN CONSTRUCTION COMPANY 31-105 RESERVE DRIVE THOUSAND CA 92276 INC DBA SERV PALMS CONTRACTOR RONCIN CONSTRUCTION COMPANY 31-105 RESERVE DRIVE THOUSAND CA -92276 INC DBA SERV I I PALMS Printed: Tuesday, May 17, 2016 9:48:35 AM 1 of 2? SYSTEMS INSPECTIONS PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE Printed: Tuesday, May 17, 2016 9:48:35 AM 2 of 2. ci syST1mS FINANCIAL •• • CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY DEMOLITION, EXTERIOR 101-0000-42404 0 $36.26 $0.00 DEMOLITION, EXTERIOR 101-0000-42600 0 $108.77 $0.00 PC Total Paid for DEMOLITION: $145.03 $0.00 TOTALS:• •• INSPECTIONS PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE Printed: Tuesday, May 17, 2016 9:48:35 AM 2 of 2. ci syST1mS Bin # City of La Quin to Building 8t Safety Division - 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 'Building Permit Application and Tracking Sheet Permit #{ Project Address: Owner's Name: A. P. Number; Address: O _ 17— �!� ��@/✓J�f.2 Legal Description: City; ST, Zip: Contractor: 2 � O C N • TelePhone. Address: �l �� e/Lt!/+L y ................. Project Description: B alii�ilON D >Y L City,.ST, Zip: 'a v%y�,�(• �/� �� r� le J�Yt►a�' e/ll�vac� Telephone P oe JJ J 4i �L✓1�S L.C. L y State Lic. # City Lic. #.: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: one: nstction Type: Occupancy:an cY: State te Lic. #• Project type (circle r le one): New Add'n Alter Repair Dem o Name of Contact Person: Sq. Ft.:#Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACIQNG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for. corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2qd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. I-I.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees r 78-495 CALLE TAMPICO COMMUNITY DEVELOPMENT DEPARTMENT LA QUINTA, CALIFORNIA 92253 (760) 777-7125 FAX (760) 777-7011 DEMOLITION PERMIT REQUIREMENTS r The following items are required prior to the issuance of a Demolition, permit 0 Two sets of plans showing the complete cope ofwork t7 o Proof of property ownership (e.g., Grant Deed). • Letter from property owner authoring demolition with scope of work. �• Asbestos Report for all pre- 1979 Properties. If asbestos is present, proof of removal by a licensed Asbestos Abatement Contractor. A • HOA Approval, if applicable. It o Public Works PM -10 Approval. loo Building Department Management Approval. d• A construction -waste management plan per Section 4.408.1 of the l California Green Build ingStandards Code. ` eAsV�4� komv (44